RT Book, Section A1 Daniel, Jonathan C. A1 Cohen, Daniel M. A2 Sugarbaker, David J. A2 Bueno, Raphael A2 Colson, Yolonda L. A2 Jaklitsch, Michael T. A2 Krasna, Mark J. A2 Mentzer, Steven J. A2 Williams, Marcia A2 Adams, Ann SR Print(0) ID 1105846446 T1 Surgical Repair of Complex (Recurrent) Pectus Excavatum in Adults T2 Adult Chest Surgery, 2e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-178189-3 LK accesssurgery.mhmedical.com/content.aspx?aid=1105846446 RD 2022/08/07 AB Since the first pectus repair was reported by Meyer in 1911, several different techniques have been described.1,2 The Ravitch procedure, first described in 1949,3 became the mainstay of repair until Nuss described a minimally invasive repair in the early 1990s.4 The techniques for primary repair of congenital chest wall deformities, including pectus excavatum, are described in Chapter 140. None of these techniques is perfect, however, and recurrences do occur. Although the incidence of recurrent pectus excavatum in the adult population is most rare, it is usually a consequence of technical failure. The rate of recurrence, although significantly reduced in the hands of a more experienced surgeon, ranges from 2% to 10%.